Literature DB >> 29555128

Sleep problems in adolescence and overweight/obesity in young adults: is there a causal link?

Yaqoot Fatima1, Suhail A R Doi2, Abdullah Al Mamun3.   

Abstract

OBJECTIVE: This study aims to explore if there is a causal association between adolescence sleep problems and overweight/obesity (Ow/Ob) in young adults.
METHODS: Youth self-reports were used to explore if adolescence (mean age 13.90 years, SD ±0.32) sleep problems lead to general Ow/Ob, computed from body mass index (n = 1075), or abdominal Ow/Ob, computed from waist circumference and waist to height ratio (n = 1179), in young adults (mean age 20.65 years, SD±0.82). Directed acyclic graphs were used to identify potential confounders, modified Poisson regression with a robust error variance was used to model the associations, and inverse probability weights were used to account for loss to follow-up.
RESULTS: At adolescence, 27.37% of the subjects reported having frequent sleep problems, and about a fifth of these subjects (22.65%) developed general Ow/Ob at young adulthood. Unadjusted regression analysis indicates a link between adolescent sleep problems and general Ow/Ob in young adults (incidence rate ratio [IRR]: 1.34, 95% confidence interval [CI]: 1.08-2.03), and this link was robust to adjustment for potential confounders (IRR: 1.47, 95% CI: 1.07-2.02). However, no such association was seen for adolescence sleep problems, and abdominal Ow/Ob computed from waist circumference (IRR: 1.30, 95% CI: 0.91-1.87) and waist to height ratio (IRR: 1.27, 95% CI: 0.86-1.88).
CONCLUSION: Although there is evidence for a causal association between sleep problems and general Ow/Ob, the link between sleep problems and abdominal Ow/Ob needs more research to produce conclusive results. Nonetheless, behavioral interventions encouraging healthy sleep practice in young subjects are likely to influence future Ow/Ob outcome.
Copyright © 2018. Published by Elsevier Inc.

Entities:  

Keywords:  Adolescence; Causal link; Obesity; Overweight; Sleep problems

Mesh:

Year:  2018        PMID: 29555128     DOI: 10.1016/j.sleh.2018.01.002

Source DB:  PubMed          Journal:  Sleep Health        ISSN: 2352-7218


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